Clinical and anatomical features of patients with apical prolapse
Dubinskaya E.D., Gasparov A.S., Matskevich E.N.
Objective: To study clinical and anatomical features of patients with apical prolapse (AP).
Materials and methods: 230 medical records of patients with pelvic organ prolapse who underwent examination and treatment from 2019 to 2024 at the University Clinic "I am healthy!" were analyzed. The main patient group consisted of 130 women with apical prolapse, the comparison group included 100 patients with anterior/posterior vaginal wall prolapse without apical prolapse. Evaluation was performed according to the POP-Q classification, using standard questionnaires (POPDI-6, UDI-6) and clinical examination.
Results: Patients with apical prolapse more often reported incomplete bladder emptying and the need to reduce prolapse to ease voiding. In the comparison group, stress urinary incontinence and lower abdominal pressure were more common. In almost half of the patients with apical prolapse, the leading point was Ba (44.6%). In patients without apical prolapse, prolapse of the posterior vaginal wall (point Bp) occurred most often (62%). No significant differences in symptoms were found between the groups, which complicates the early diagnosis of apical prolapse.
Conclusion: When examining the patients with pelvic organ prolapse and collecting their history, it is necessary to take into account the "pitfalls" that complicate objective diagnosis of apical prolapse. It is necessary to improve the technique of physical examination of gynecological patients for early detection of first-level support defects, which will allow timely prescription of adequate treatment with the best long-term results.
Authors’ contributions: Dubinskaya E.D., Gasparov A.S. – study concept and design, editing; Matskevich E.N. – data collection and analysis; Matskevich E.N., Dubinskaya E.D. – text writing.
Conflicts of interest: The authors declare that there are no conflicts of interest with respect to this publication.
Funding: The study was performed without external funding.
Ethical Approval: The study was approved by the local Ethical Committee of Patrice Lumumba Peoples' Friendship University of Russia.
Patient Consent for Publication: All patients provided informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Dubinskaya E.D., Gasparov A.S., Matskevich E.N. Clinical and
anatomical features of patients with apical prolapse.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (7): 130-137 (in Russian)
https://dx.doi.org/10.18565/aig.2025.154
Keywords
pical prolapse
pelvic organ prolapse
diagnosis
POP-Q
quality of life
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Received 11.06.2025
Accepted 03.07.2025
About the Authors
Ekaterina D. Dubinskaya, Dr. Med. Sci., Professor at the Department of Obstetrics, Gynecology and Perinatology, Patrice Lumumba Peoples’ Friendship University of Russia,8 Miklukho-Maklaya str., Moscow, 117198, Russia, +7(903)117-55-58, eka-dubinskaya@yandex.ru, https://orcid.org/0000-0002-8311-0381
Alexander S. Gasparov, Dr. Med. Sci., Professor, Professor at the Department of Obstetrics, Gynecology and Perinatology, Patrice Lumumba Peoples’ Friendship University
of Russia, 8 Miklukho-Maklaya str., Moscow, 117198, Russia, +7(985)776-77-78, 13513520@mail.ru, https://orcid.org/0000-0001-6301-1880
Elizaveta N. Matskevich, Teaching Assistant at the Department of Obstetrics, Gynecology and Reproductive Medicine, Faculty of Postgraduate Education, Patrice Lumumba Peoples’ Friendship University of Russia, 5-2 General Antonov str., Moscow, 117342, Russia, +7(911)176-66-94, liza151196chik@mail.ru,
https://orcid.org/0009-0000-3315-7408
Corresponding author: Ekaterina D. Dubinskaya, eka-dubinskaya@yandex.ru
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